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309464 (SFD)
BUILDING PERMIT ae DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT 30944 PERMIT NO.COUNTY 30946 Job Address Space Zip Lzs OF RIVERSIDE Community ,Cfi y/n/ - Valuation E.25 ��.Js e=' PST CONSTRUCTION ESTIMATE OFf, NO. ELECTRICAL FEES NO. PLUMBING FEES MH Permit Fee E 1ST FL. SQ. 2ND FL. SQ. POR. SQ. GAR. ' SQ. CARP. SQ. WALL SQ. SQ. ESTIMATED CONSTRUCTION y�U $ 2 FT. @46 Parcel No. _ _ 7 UNITS Ck.by Mech. Fee Dbl E as PI. Ck. Fee E YARD SPKLR SYSTEM FT. C3 Lot S,'?— FT. @ "y MOBILEHOME SVC. BAR SINK Legal Description �//v%� FT. @ Av 1O ,v POWER OUTLET ROOF DRAINS e S DRAINAGE PIPING FT. ® FT. @ DRINKING FOUNTAIN Zone / FT. URINAL Type 'v VALUATION $ D� WATER PIPING NOTE: Not to be used os property tax valuation Plumbing Fee Dbl E SWIM POOL, PVT Plan No. FLOOR DRAIN Final Dater, Inspectot MECHANICAL FEES Sp. Insp. Fee SWIM POOL, COMM Const. Lender Branch 'I certify that in the performance oft orl. for wh,ch Ihis perms a resued 1 shall not employ any person in any manner so to become subldcl to the workmen s com- pensation laws of California Address City Zip Owner Signoture Budder Signature WATER SOFTENER Mileage Fee E Witness Fee E VENT SYSTEM yo FAN ❑ EVAP. COOL >f3 HOOD Owner/Agent SIGN WASHER IAU ( DISH) Address ` City Zip APPLIANCE DRYER Received by Controc Tel. 2---) s �s- GARBAGE DISPOSAL Trees required Sewage System T LL P Sewer District Form 284.208 (Rev. 4.771 ©s FURNACE ❑ UNIT ❑ WALL C) FLOOR ❑ SUSPENDED City Zip Workers'Comp. y 3c0 no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF enl,ed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY. CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE -50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AiVD PROFESSIONS CODE OF .THE STATE OF CALIFORNIA. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK a ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR i : HP POLE, TEMP/PERM Z LAVATORY HEATING SYSTEM X0 FORCED ❑GRAVITY AMPERES SERV ENT S SHOWER BOILER � B.T.U. SQ. FT. p ¢ BATH TUB SQ. FT. Qa ¢ WATER HEATER SQ. FT. RESID @ 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR Civ 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.FAL FEES y MOB. HM. FEE MICRO FEE ECH. FEE �ie . PL. CK. FEE CONST. FEE ELECT. FEE G 3 SMI FEE / ; FEE PLUMB. FEE PERMIT 30944 Supp. Permit Job Address Space Zip Lzs Owner Community ,Cfi y/n/ - Valuation E.25 ��.Js e=' Date . /fJ'�"F.C. Zzz Dist. OFf, MH Permit Fee E Micro Film Fee Cop E Use of Permit j \� { �] /' c7W��f r1 / r ^%T nf�%�d t� Parcel No. _ _ 7 Use No. Ck.by Mech. Fee Dbl E as PI. Ck. Fee E Set Bacs k Lot S,'?— Construction Fee Dbl E Legal Description �//v%� S Electrical Fee Dbl E Zone / Grp 3 Type 'v Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. Plan No. Plan Checkeer,/ Final Dater, Inspectot - Sp. Insp. Fee Dental. Fee E Const. Lender Branch 'I certify that in the performance oft orl. for wh,ch Ihis perms a resued 1 shall not employ any person in any manner so to become subldcl to the workmen s com- pensation laws of California Address City Zip Owner Signoture Budder Signature Regisir. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent Tel. _ Zip Total Fees E Q Address ` City Zip M.O. ❑ N.C. ❑ Cosh ❑ Cha Received by Controc Tel. 2---) s �s- License p i 1 Trees required Sewage System T LL P Sewer District Form 284.208 (Rev. 4.771 ©s Address _ City Zip Workers'Comp. y 3c0 no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF enl,ed by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I HEREBY. CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE -50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AiVD PROFESSIONS CODE OF .THE STATE OF CALIFORNIA.